<%@ taglib uri="/tags/struts-bean" prefix="bean"%>
<%@ taglib uri="/tags/struts-html" prefix="html"%>
<%@ taglib uri="/tags/struts-logic" prefix="logic"%>
<%@ page language="java" contentType="text/html; charset=ISO-8859-1"
    pageEncoding="ISO-8859-1"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<body>
<div class="formContainer">
	<fieldset><legend>Informe os dados para efetuar o chamdo</legend>
		<div id="caixa" align="left">
			<div class="formContainer">
				<table>
					<tr>
						<td style="font-size: 12;">Nome:</td>
						<td><input name="nome" type="text" width="500px"></td>
					</tr>
					<tr>
						<td style="font-size: 12;">Endere&ccedil;o:</td>
							<td><input name="endereco" type="text" ></td>
					</tr>
					<tr>				
						<td style="font-size: 12;">Bairro</td>
						<td><input name="bairro" type="text" ></td>
					</tr>
					<tr>
						<td style="font-size: 12;">CEP:</td>
						<td><input name="cep" type="text" ></td>
					</tr>
					<tr>
						<td style="font-size: 12;">Ponto de refer&ecirc;ncia:</td>
						<td><textarea name="pontoReferencia" ></textarea></td>
					</tr>
					<tr>
						<td style="font-size: 12;">Telefone fixo:</td>
						<td><input name="telefone" type="text" ></td>
					</tr>
					<tr>
						<td style="font-size: 12;">Celular:</td>
						<td><input name="celular" type="text"></td>
					</tr>
					<tr>
						<td style="font-size: 12;">Observa&ccedil;&atilde;o :</td>
						<td><textarea name="mensagem"></textarea></td>
					</tr>
					<tr colspan="2">
						<td align="center" colspan="2"><a href="WEB-INF/jsp/sucesso.jsp"><input type="submit" value="Enviar"></a></td>
					</tr>
					
				</table>
			</div>
		</div>
	</fieldset>
</div>	
</body>
</html>